Loading...
HomeMy Public PortalAbout9738 LAS TUNAS DR_Sewer__ •► �`"` ate'= 6A 6420-CE808 -10-71 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY NEAREST �" FOR APPLICANT TO FILL IN CROBS BT. LEGAL --�J DESCRIPTION LOT NO. OWNER ��9r;1' MAIL BLOCK TRACT J Jf ADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF BUILDINGS DISTRICT NO. GRO�W..yP MAP /� CESSEU BY C8K P5 ONTRACTOR } %. D77✓� !r V ADDRESS GA CONNECTION- ATA .,rte STATION � DEPTH CITY �..- � TEiI. NO. STATE LIC LICENSE NO, GLASS MANHOLE REFERENCE OWER ' NO.. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB :L. M.L.TO P.L. PUBLIC SEWER 0 $7.00 P.C.NO. SEPTIC TANK.SEEPAGE PIT OR JOB NO- H IMP. . PITS AND/OR DRAINFIELD @ $10.00 CO- } HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 :f O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT I WAIVER I EASEMENT RECORD.INSTR.NO. DATE u -- WORK TO HOUSE SEWER @ $3.00 OVERFLOW S€EPAGE PIT.DRAIN FIELD EXTN..CESSPOOL.DRYWELL, - 0 $S.00 - O - HWY.OR ST.WIDENING ALTER.REPAIR OR ABANDONHOUSE SEW ER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACH MENT W MANHOLE $7 0 PERMIT NO. 4. r INDUSTRIAL WASTE APPROVAL L OWNERS >" PERMIT s 3 00 CHARGES AUTHORIZATIONT TOTAL FEE f3(� CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ --- ' OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS___ _ - - - - � SEPTIC TANK.SEEP,PIT(S) 1 HEREBYACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER,REPAIR SEWER OR LICENSED AS REQUIRED BY S ANGLES V AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT 1 M E LEGAL O ER AND INTEND TO ONNECT PLUG AND RESIDE IN, THE ABOV .� CRIBED RE DENTI PROPERTY. Al 'N DON HOUSE SEWER - SIGNATURE OF PERMITTEE_ �'' '-ATw-,�-+- BACKFILL SEPTIC TANKS Cl SEEP.PIT(SI ESSPOOLS ❑ VALIDATION fCK. M.O... CASH MAR I D 98664219. CE8�p8 11.87 APPLICATION FOR PERMIT 1 COUNTY OF LOS ANGELES SEWER--SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING s.. JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of building ' LOCALITY '"' ✓ aa� 'a ' NEAREST �`t FOR APPLICANT TO FILL IN CROSS ST. LEGAL. a DESCRIPTION LOT N0. k.1' ws _OWNERMAIL .•""",.>,',,. ,,1�,`�'',• '',;/" a">',s .+ y•,.✓ BLOCK TRACT = F ADDRESS - .f. ,.��s •+ NO.OF BLDGS. SIZE OF LOT NOW ON LOT Y CITY TEL. NO. BUILDINGS ' DISTRICT NO. GROUP MAP CONTRACTOR J. ADDRESS `.y- . � ;�,�, _ CONNECTION DATA -- CITY �;"d '`CC '' L.NO. �!9c• �' STATION ; -. r '" �;e DEPTHg REGISTRATION N0. ®' +�.'STATE MANHOLE REFERENCE $PrtR,COUNTY r' ` N0. DESC'RRTION OF WORK FEE _ �-� OWER — HOUSE SEWER CONNECTING'TO PUBLIC SEWER G $3.sC aiv,. �".'" .� _ SEPTIC TANK,SEEPAGE PIT OR C.� YPEOF ONNE,GTION• LENGTH FROM P1TS AP1D/OR ORAINF[ELD $3.00 �. `„ UBS, ,/ .1,�-.TQ A.L. -p._a OVERFLOW SEEPAGE PIT.DRAINE'IELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO * P.C.N0. PRIVATE_DISPOSAL SYSTEM _ @ $1.00 CO,IMP, N0. >.. '' .'% JOB NO. CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @. $1.00 s 4,4,;. TRUNK PERMIT NO. ROAD PERMIT NO.��;i`t •`_ �, ALTER,REPAIR OR ABANDON HOUSE ##"" SEWER OR DISPOSAL SYSTEM Cw $1.00 STATE ENCROACHMENT —" PERMIT NO. INDUSTRIAL WASTE APPROVAL � � CHARGES _ OWNER'S PERMIT s 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ,10,,7� REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE (INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. �,. . SIGNED THIS DAX OF r'- ✓.. —19* NEW HOUSE SEWER_ OWNER OR .,..r ,P. CONNECT ADDITIONAL OWNERS AGENT "a '� _BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINNELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL El DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS, —SEWAGE DISPOSAL SYSTEMhLT'ER. REPAIR SEWER OR I HEREBY CERTIFY THAT AM. PROPERLY REGISTERED AND/OR -- -- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND :STATE OF DISCONNECT PLUG AND CALI-FORNIA OR THAT i.,AM THE LEGA_jUX, ER OF THE ABOVE _ABANDON HOUSE SEWER DESCRIBED RESIDENT OL PROPERTY. BACKFILL SEPTIC TANKS❑ SIGNATURE ,c' _SEEP. PIT(S) ❑ CESSPOOLS [I OF PERMITTEE n �a i. LIBATION ROBERT A. WOOD ris. / M.o. CAsit SUPERVISING MECHANICAL ENGINEER 6A642D-53 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL. �- DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING r JOHN A. LAMBIE, County Engineer gDDRESs may►- -- WILLIA2>'l, A. JENSEN, Supt of Building L(1_AL TY ,B' 'ice YC4RE_T FOR APPLICANT TO FILL IN CRO I.LC 4L GESCR�'P'�IOP7 LOT Nr %- � '"�. - - ;' -"� OWNER MAIL BLOCK TRACY - ADDRESS NO. OF BLDGS. SIZE O` LOT NOW ON LOT CITY TEL, NC?. JSE QF BJ.LD NC-s e DISTRICT NO. GROUPMAP PROCEaSl:D BY PG CONTRA A DDRF.a_. - ' CONNECTION DATA SY A710N DEPTH. CITIL E , L NO. � L -} - ,�-1-- -__T fl� 'i1PPER 67ATE MANHOLE REFERENCE ` REGISTRATION NC. C1 COUNTY v NO. j GFSI'Rl PTIOh OF WORK FEF' 'C4 PE OP CO N+JECTiON --" LENGTH FROM HOUSE SEWER CONNECTING TO Y CURS P.L. M.;_ 0 P.L. ' rUPL C SF WER C $S.00 _— - C.N:O SEPTIC TANK SEEPAGE PIT OR �. T CO. (M�' NO. JOB NO PITS ANDr R[IRA NF iEL D ` $10:00 _ .._- TPJ PR.IvA7 E.DISRCSaI SYSTEM $3,G0TRUNK PERMIT NO. ROAD PERMIT NO. ONNEC7 ADDITIONALSI:. LD .OR •ZF FI[lAVI7 %AIYER F EASE+Erz'[ RECORD. !lYSTR NO. DATE t� WORK TC HOUSE SEWER L $3.00 + OVERFLOW SrEPAGE PIT,DRAINFIELO E XT N.,CESSPOCL.Di2'(Wf LL,MANHOLE ' $5.0 - _7 HWY.OR ST.WIDENING � r A6,LEk2_A r'A1xZSIR ABANDON HOUSE _ SEWER CP Lill P OER SYSTEM $3,00 .-_ STATE EN CR.OACH M ENT .. PERMIT NO 1 WASTE APPROVAL CHARGES O VVNEE FER1vIIT s 2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE 'I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- T RACTOR TO CONNECT THE ABOVE. .DESCRIBED EXISTING DWELLING --- ---/ry-yqy -fi�e—e ---- TO THE PUBLIC SEWER. APPRV 4'ALl.7 DATE INSPECTORS SIGNATURE SIGNED THIS_�_ _DAY OF - --- OWNER OR .s'- NEW HORSE SEWER I I OWNERS AGE7v _ CONNECT A.DDI'TIONA.L. I -- BUILD,NG OR WORK ADDRESS - ------ -_— --� - SEPTIC TANK„SEEP,PIT(S) THEREBY ACKNOWLEO THAT I HAVE READ THIS APPLICATION AND/OR ORAINFIEL.D j AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING � V PLUM SING AND SEW RS, CESSPOOL.L L-1DRYWELL I __._._-.._-__�._:r I HERE iE Ft F_£3Y ti ERY'4FY THAT I AM 'PROPERLY REGISTERED AND/OR' ALTER REPAIR.SEWER O!? LICENSED AS REOUIRED BY LOS ANGLES COUNTY AND STATE OF .SEWAGE DISPOSAL SYSTEM CALI FOP.N IA OR THAT i AM THE LEGAL OWNER OF, AND INTEND TO 61FCCNN'r CT PLUG AND j - RESIDE IN, THE ABOVE DESCRiBF_D RE IDEM TIAL PROPS P.T Y. ABANDON HOUSE SEWER SIGNATU 47 OF PERMITTEE - -j " -__ BACKFILL SEPTICTANKS V"'--'------ -- SEEP,PIT ES) i_] CESSPOOLS ❑I VALIDATION - ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK, M.O. CASH k, E808 6A642D5-65 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 6 ING JOHN A. LANIPIK, County Vngineer ADDRESS' COLLVAN 1�. JENKINS,Sup't. of Building IS LOCALITY ,r, NEAREST FOR APPLICANT TO FILL IN CROSS ST. 7DESCRIP ION LOT _OWNER - ---I . ­ , ) BLOCKK LOCK TRACT NO, OF,BLDGS. SIZE OF LOT NOW ON LOT C�TY TEL. NO. USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCES't p BY PG BK CONTRACTOR CONNECTION DATA ADDRESS H CITY TEL NO. STATION DEPT LICE LICENSE 6 UPPER NC, MANHOLE REFERENCE CLASS j LOWER NO 1--c-ESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM SEWER CONNECTING TO Y CURB P.L. M.L.TO P.L. M 1 POBLIC SEWER $ ...... — SE PT lIff-TANX P.C.NO. PTS ANDfOR ORAINFIELD $10-00 CO.IMP. NO. JOB NO. 0 TRUNK PERMIT NO. ROAD PERMIT NO. NGTO PRIVATE DISPOSAL S,�STEVI $ 3 00� OR IN DATE W TO H.OUSE SEWER $ 3 Do; AFFIlAlIT ­REC0_RD_lNS­TR_. Im SAND IN i4du�E­_ S OR DISPOSAL SYSTEM 3.00 YdJJ HWY.OR ST.WIDENING EXTN CESSPOOL _VIAWE:IC� $ 5,001 i - STATE ENCROACHMENT PERCOLATION TEST $ 5. 0 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT 00 AUTHORIZATION CONNECTION CHARGE FEE L IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEET TRACTOR R TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING To THE PUBLIC SEWER. APPROVALS DATE INSPEC Tt4 SSIGNATURE SIGNED THIS---DAY OF___ ------- OWNERORk, NEW HOUSE SEWER OWNERS AGENT_____ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS . I HFRESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK.SEEPPIT IS)AND'OR DRAIN15)FLO 4NO 5TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _. ._ __-_._ --... ____ i�— --_._._ WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING CESSPOOL ❑ DRYWELL PLUMBING AND SEWERS IHHEREBY CERTIFY THAT 1X PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED Ely AS REQUIRED COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AND- ­M,'(Hl� LEGAL OWNER OF, AND INTE -rP DISCONNECT PLUG AND RESIDE IN, THE ABOVE SCRI�q-C> RESIDENTIAJPROPERTY �_­- ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE__-,___ ✓ BACKFILL SEPTIC TANKS ❑ SEEP.PITS) 0 CESSPOOLS VALIDATION CK. M.O. CASH